Hello all,

I wanted to follow up on my question about Mercury from two months ago. He had been suffering from recurring urinary blockages, and after several ER visits, I scheduled him for a PU surgery at The Bridge Clinic, a non-profit vet hospital in Bensalem and Philadelphia. The surgery was done on Aug 14th, and the surgeon recommended doing the PU first to see if the stones would pass naturally, which they did. The surgery cost me $1,181.

Unfortunately, the issues didn’t end there. Mercury seemed to recover for about three weeks, but then he started frequenting the litter box and peeing only small amounts, sometimes not at all. He also began peeing outside the litter box and seemed very uncomfortable, especially at night, so I took him for a follow-up on Sep 12th. An X-ray and urinalysis were negative for stones or infections, but crystals were found, leading to a diagnosis of FIC/FLUTD. They suggested Gabapentin for pain and more water fountains and litter boxes (this visit cost $191).

Despite following their advice, Mercury’s issues persisted, so I scheduled another appointment on Sep 19th. The vet confirmed FLUTD and suspected a possible infection at the surgical site, so he received a Convenia and Buprenorphine injection (visit cost: $134). Still, no improvement.

I then took him to his primary vet at Telford on Oct 3rd, where they suspected a different bacterial infection and prescribed Clavamoxin, though I declined a urine culture due to cost (this vist was $170). I also put him on a strict urinary diet (he was on dryMetabolic Urinary food and regular wet food which I diluted with water). He showed some improvement, but then, last Monday, he seemed blocked again. After giving him Amitriptyline, he was able to urinate, and Telford said their only recomendation is a urine culture, and they don’t have any time to see him that week, so I reluctantly agreed to. (Urine culture + 7 Amitriptyline + 14 Clavamoxine was $323), today the results from the culture came back clean, meaning I spent $273 for nothing.

What’s frustrating is that I haven’t spoken to the vet directly since the first visit, only through techs and nurses, and I’m running out of time and money. Mercury is still in pain and struggling to urinate, and I don’t know what else to do.

So if you have any insight or recommendations to what I should do next please let me know because I am at my wits end and have no idea what to do. (I’ve attached the visit’s summaries and the receipt from my last time at Telford to this post)

I have a 12 month old male rescue kitten that in the past three weeks has blocked twice. We’ve spent thousands to unblock him. The emergency vet hospitals in my area have all quoted me a price of over 8,000 dollars for PU surgery. He is currently not blocked but is having trouble and discomfort while urinating and his volume isn’t great. He’s on a prescription diet and we’ve done everything we can to keep him healthy. But we feel that PU surgery is inevitable and is our only option to save his life. The emergency vet told us that if we couldn’t afford surgery they would euthanize him for us. He’s the sweetest boy and deserves a chance at a long life. We are desperate for help. We would be willing to travel in order to get him what he needs if that’s what it would take. Please help us! We love our little Loki

We brought Mila, my 7 year old mixed domestic savannah chausie female spayed kitty, early this morning for emergency attention because she was moaning and groaning in pain last night and could hardly move. Prior to this morning she had been seen two weeks ago at the same emergency clinic and her primary vet. Both determined she had crystals and a UTI and prescribed medication which we’ve been giving as instructed along with keeping her on the strict urinary care diet from hills c/d.

She tried yesterday and this morning to use the litter box but was unsuccessful in relieving herself so we had to treat it as if she was experiencing a blockage which you know is very dangerous.

The Dr. was able to express Mila’s full bladder and found no blockage there, but said Mila was in a lot of pain while undergoing the procedure. She did not feel any stool so Mila is not considered to be constipated, but a good sized stone or crystal was visible during the ultrasound.

The Dr. strongly believes Mila still has a UTI and wants to get that under control first, so we were given the following medications:

Pradofloxacin (antibiotic)
Prazosin (for urethral spasms)

We were also instructed to increase the dosage of the Gabapentin from 0.3ml every 12 hours to 0.5ml every 8 hours since it didn’t seem to be doing enough in terms of managing Mila’s pain. She was previously on buprenorphine for pain but we were concerned that it was constipating her.

We need to bring Mila in as soon as possible to perform another urinalysis and culture as was recommended by the Emergency clinic. This was recommended to determine whether or not the bacteria from the UTI has spread to Mila’s kidneys.

We chose to decline those diagnostics at the emergency Clinic today as they were going to charge an additional $800 for an already expensive treatment and we felt more comfortable going through our primary vet for Mila (the diagnostics will cost a fraction of what emergency quoted.)

I want to do everything I can for Mila but we are now in the hole nearly $2k at the point between the two emergency visits and the primary vet visit, so wanting to know what is necessary now Vs. what can be phased in.

I hate seeing her in pain and I’m just worried that she isn’t improving.